IndividualActive
Marcus Johnson
NPI 1336091438 · Registered Nurse First Assistant · Whiteriver, AZ
Provider details
- NPI number
- 1336091438
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RN215308 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
200 West Hospital Drive
Whiteriver, AZ 85941
Phone: (928) 338-4911
Approximate (ZIP-level) locationGet directions
Mailing address
3891 W Old Linden Rd
Show Low, AZ 85901-3399
Registry dates
- Enumerated
- 2026-02-11
- Last updated
- 2026-02-11
- Certified
- 2026-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.